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Right back where I belong

I met with my psychiatrist today and it was an interesting visit. Some background information. I stopped taking my meds on Sunday. Cold turkey. I was coming home from Boston early that morning, and I didn't want to consume anything because I wanted to be able to weigh myself when I got home with nothing in my stomach (I ended up drinking a diet coke on the plain, but that's a moot point). I don't know why, but after not having taken my meds on Sunday, I had no motivation to take them on Monday, or Tuesday, or Wednesday. I told her that I had "forgotten" but the story eventually came out. I got super sick on Monday, unsurprisingly, considering the amount of meds I'm on and how stopping cold turkey affects my brain chemistry.

My sleep has been so messed up since Sunday. I've been tired constantly, taking long but low quality (basically sleepless) naps during the day, and getting little to no sleep at night. I'll go to sleep and literally wake up every hour if not more, and it takes me forever to fall back asleep. We talked about this and how my circadian rhythm was screwed up. Likely from withdrawing from medication that a.) makes me more sleepy in general, and b.) some of which help with sleep. But also because depression in general makes you more tired, which is what makes me constantly tired and feeling like I need to nap during the day, which throws off my circadian rhythm making it difficult if not impossible to sleep at night.

We then had a long discussion about my motivation behind not taking medication. She saw right through me and knew that I hadn't "forgotten" my meds the following days. She talked to me about the different reasons why people fail to take their medication, something that ultimately makes them feel better. Some reasons were control, apathy or ambivalence towards feeling/getting better, fear of getting better, etc. The ambivalence and fear of being okay kind of resonated with me. It kind of parallels to my eating disorder. I'm so ambivalent towards recovery from my eating disorder, mostly because of fear of what I'm letting go of. The same holds true for medication, not so much in the sense of "letting go" of something that keeps me safe. But I'm so used to being sick in my head that going back to feeling like shit feels comfortable. I don't know why, but it is also somewhat scary to be okay. Why? It doesn't make sense. But she said it wasn't uncommon. As miserable and depressed and anxious as I am without my medication, it feels right. And a few days of not taking my medication, and feeling a huge dip in my mood, just made me feel somewhat safe and at home. I know it doesn't make sense the way I'm explaining it, but when we talked about it, it made a whole lot more sense.

We talked about what we would do going forward from here. I'm apathetic towards taking my medication right now. She said she would support me with any decision I decided to go. So basically we decided to go off of my Luvox, Abilify, Lexapro, and Trazadone, and to keep the Klonopin and Focalin. That was my decision. I'm not sure how I pulled that one over her, considering the Klonopin and Focalin are my two "abusable" and controlled substances. But whatever, she was cool with it. She said as long as I promised to be smart about it, and to come back in if my suicidal thoughts became more than just "fleeting" thoughts.

As okay as I'd been the past few days with not taking my medication, I kind of left with a bit of a pit in my stomach. Like maybe I made a bad decision. I could have had her prescribe my meds, and chosen from there whether I wanted to get them filled, or even get them filled and decided from there whether to take them. But no, I totally gave up 4 of my meds which keep my mind somewhat sane. I felt somewhat like I was giving up. I almost cried over it on the way home, because in a way I felt like I was "grieving" my medication. Which is somewhat silly. But again, it does keep my mood relatively okay, and I'm giving that up.

So basically I just dropped 2/3's of my medication. I'm not sure how okay with it I am, but at the same time I take comfort in knowing that I can go back to my depressed, miserable, and anxious state. It's sick to say and to think, but part of me is looking forward to feeling the missed hole and darkness in my life that consumed me. It feels like I'm back at home, where I belong.

1 comment:

You can change your mind at anytime. All it takes is a phone call to get back on your meds. I know there is safety in sickness and it sounds like that's what your after but it's a false sense of safety. Your psychiatrist can't force you to do anything you don't want to do (unless you are a danger to yourself or others) which is probably why she let you go off of them. I totally get why you took yourself off the meds but please know that you can change your mind at any time. I think deep down you know what the best decision would because you did have such an emotional reaction after the fact.